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User:Lukelahood/Scapulopexy

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Lukelahood/Scapulopexy
Scapula-to-scapula scapulopexy, pre- and post-operation. The scapulas are tethered together with an Achilles tendon graft, holding them in a retracted position. In the right image, the rhomboid major muscles are easily visible.
SpecialtyOrthopedic
FrequencyRare

Scapulopexy is a form of scapular fixation, an orthopedic surgery in which the range of motion of the scapula is reduced or eliminated. It most commonly refers to fixation of the scapula to the ribs, which is essentially scapulothoracic fusion without fusion of bones (arthrodesis).[1] It also refers to various other procedures, such as using a soft tissue "checkrein" to tether the scapula to vertebrae or to the other scapula.[2]

Scapulopexy is generally considered more conservative than scapulothoracic fusion because no bones are fused and it is more easily reversed.[1] However, it is less robust, as the soft tissue, wire, and other materials are more susceptible to long-term failure compared to bone-to-bone fusion.

Scapulopexy is a preferred option for those who are still growing.

From scapulo- meaning scapula and -pexy meaning fixation.

References

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  1. ^ a b Giannini, S; Ceccarelli, F; Faldini, C; Pagkrati, S; Merlini, L (August 2006). "Scapulopexy of winged scapula secondary to facioscapulohumeral muscular dystrophy". Clinical orthopaedics and related research. 449: 288–94. doi:10.1097/01.blo.0000218735.46376.c0. PMID 16672903.
  2. ^ Abrams, Jeffrey S.; Bell, Robert H.; Tokish, John M. (2018). ADVANCED RECONSTRUCTION OF SHOULDER. AMER ACAD OF ORTHOPAEDIC. ISBN 9781975123475.
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